Name
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First Name
Last Name
GNTC Student Email
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example@example.com
Banner ID (900) Number
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Check the following sections that apply to you
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Single Parents - students who have primary or joint custody of a dependent child or a person who is single and pregnant. This can be divorced, widowed, legally separated, or never married, person with a dependent(s)
Out-of-work Individuals - students who have been unemployed or underemployed who cares for a home and/or family and for that reason have had difficulty in obtaining or upgrading employment.
English Learners - students who have a limited ability to write or understand English due to a language other than English as their primary language
Homeless Individuals - students who do not have a primary residence
Foster Care Students - youth who are in, or have aged out of the foster care system
Economically Disadvantaged - includes low-income youth and adults and/or PELL Grant eligible student
Under-represented Gender Students - non-traditional fields are those where a given gender is less than 25% of that field’s workforce. Examples of non-traditional careers for men include; cosmetology, dental assisting, early childhood care and education, and nursing. Examples of non-traditional careers for women include; automotive, computer technician, construction management, and welding.
Individuals with Disabilities - students who need classroom accommodations and/or academic adjustments - a physical or mental impairment that limits one or more major life activities such as; caring for one's self, performing manual tasks, walking, seeing, hearing, speaking, breathing, or learning (documentation required)
I choose not to disclose this information
None of the above applies to me
What program level are you currently enrolled in?
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Degree
Diploma
Certificate
Please verify that you are human
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